Dr. Jared Michael Boyd, DDS
Dentist in Shreveport, LA. Individual provider (NPI-1).
NPI number1003124397
StatusActive
Last updated in NPPESMar 14, 2017
Details
- NPI
- 1003124397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared Michael Boyd
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2010
- Last updated
- Mar 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6191 | LA | Yes |
Practice location
2042 Line AveShreveport, LA 71104-2125
Phone 318-425-5356 · Fax 318-674-2898
Mailing address
2042 Line AveShreveport, LA 71104-2125
Phone 318-425-5356 · Fax 318-674-2898
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